Organization
VALLEY PHARMACY
Active
Organization
VALLEY PHARMACY
Active
Other names
Valley Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMGAD GADALLA (OFFICE MANAGER)
(623) 505-6500
Entity
Organization
Contact information
Practice address
2960 N LITCHFIELD RD STE 120, GOODYEAR, AZ 85395-7822
(623) 505-6500
(623) 505-6505
Mailing address
7744 PORT ARTHUR DR, CORONA, CA 92880-3537
(909) 327-8467
(623) 505-6505
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005172
AZ
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0356243
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/27/2009
Last updated
06/21/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up